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Individual
DR. JIVIN GERARD TANTISIRA
Active
Individual
DR. JIVIN GERARD TANTISIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 9427
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00264901
—
HI
01
—
1447298344
ALOHA EYE CLINIC, LTD. NPI ID
HI
01
—
20992-4
HMSA
HI
Enumeration date
04/07/2006
Last updated
08/30/2023
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